Home Health Rejection and Your Grandma

It has been shown that 28% of people discharged from the hospital reject home health services.  Most of these are seniors and the do it because they just want to be left alone. “Refusing home health care after a hospitalization puts patients at risk of a difficult, incomplete or slower-than-anticipated recovery. Without these services, older adults’ odds of being readmitted to the hospital within 30 or 60 days double”.  You know what that means, right?  It means bad scores for the doctors and for the hospitals.   That’s the real travesty.   Forget patient independence.  Forget free will. We are talking Press Ganey scores here!  We are talking quality metric scores here!  We are talking less bonuses for the hospital CEO!  Something needs to be done to fix this.  I hear the term Soylent Green being whispered around at hospital meetings.  What does that mean?

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Douglas Farrago MD

Douglas Farrago MD is a full-time practicing family doc in Forest, Va. He started Forest Direct Primary Care where he takes no insurance and bills patients a monthly fee. He is board certified in the specialty of Family Practice. He is the inventor of a product called the Knee Saver which is currently in the Baseball Hall of Fame. The Knee Saver and its knock-offs are worn by many major league baseball catchers. He is also the inventor of the CryoHelmet used by athletes for head injuries as well as migraine sufferers. Dr. Farrago is the author of four books, two of which are the top two most popular DPC books. From 2001 – 2011, Dr. Farrago was the editor and creator of the Placebo Journal which ran for 10 full years. Described as the Mad Magazine for doctors, he and the Placebo Journal were featured in the Washington Post, US News and World Report, the AP, and the NY Times. Dr. Farrago is also the editor of the blog Authentic Medicine which was born out of concern about where the direction of healthcare is heading and the belief that the wrong people are in charge. This blog has been going daily for more than 15 years Article about Dr. Farrago in Doximity Email Dr. Farrago – [email protected] 

  5 comments for “Home Health Rejection and Your Grandma

  1. Kurt
    June 21, 2017 at 1:51 pm

    …………. And in the end, the primary care practitioners get blamed for it!! Stay out of Pri-care students!! Vote with your feet!! Run, run, run from the slaughterhouse that will eat you alive! 😉

  2. Pat
    June 17, 2017 at 2:49 pm

    It also means that seniors are risking expensive re-admissions that they won’t have to pay for. Being on government care means you shouldn’t have the option, and should have to accept home health, or foot your own bill.

    • RSW
      June 20, 2017 at 12:17 pm

      There’s no evidence that letting the home health people into your house lowers the rate of re-admissions. But if you like living in a nanny state . . .

  3. June 17, 2017 at 12:05 pm

    Great points! The ethics of caring for the elderly are more and more threatened. It’s another case of “appearing” to do the right thing instead of actually doing it.

  4. Steve O'
    June 17, 2017 at 8:27 am

    The underlying tone of contempt is universal. People don’t know what’s good for them, and we’re going to give it to them good and hard. Our latest invention (medical homes, telehealth, HMO) would work if it wasn’t for the stupidity, ignorance and stubbornness of the beneficiaries.
    That’s the problem underlying a lot of these failures in healthcare and elsewhere.

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